CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Womans Hospital of Texas,The

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $38
  • Cash Discount Price: $294
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Womans Hospital of Texas,The is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $294. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.37x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$294

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)
Cash / Self-Pay: $294 (1061%)
Insurance Median: $38 (137%)
Cash: $294 (1061% of Medicare)
Ins. Median: $38 (137% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Superior Health Plan $15 - $29 54%
Oscar $24 - $59 87%
Wellmed $24 - $28 87%
Amerigroup $25 - $42 90%
Blue Cross Blue Shield $25 - $111 90%
Cigna $25 - $28 90%
Devoted Health $25 - $28 90%
Humana $25 - $269 90%
Integranet Amerigroup Ipa $25 - $29 90%
Kelsey Seybold $25 - $29 90%
Triwest Healthcare Alliance $25 - $28 90%
United $25 - $135 90%
Van Lang Ipa $25 - $28 90%
Wellcare $25 - $29 90%
American Health Plan $26 - $29 94%
Procare Advantage $26 - $29 94%
Provider Partners Health Plan Of Texas $26 - $30 94%
Shared Health $26 - $29 94%
Molina $27 - $30 97%
Christus (Usfhp) $28 101%
Triwest Health Alliance $28 101%
Universal Healthcare Group $29 - $33 105%
Community Health Choice Mcd $32 - $39 115%
Verda Health Plan $32 - $36 115%
Community Health Choice $36 - $40 130%
Superior $36 - $43 130%
Corvel Corporation $49 - $55 177%
Omni Healthcare $52 - $59 188%
Molina Healthcare $54 - $61 195%
Texas Childrens Health Plans $58 - $79 209%
Aetna $83 - $167 299%
Healthsmart Preferred Care $105 - $256 379%
Fidelis Securecare Of Tx $110 - $135 397%
Coventry National First Health $131 - $160 473%
Physicians Cooperative Of Texas $135 - $166 487%
Rockport Workers Comp $135 - $166 487%
Independent Medical System $147 - $181 530%
National Healthcare Solutions $147 - $181 530%
Southwest Medical $147 - $181 530%
Coastal Comp $159 - $196 574%
Affiliated Ppo $184 - $226 664%
Fiesta Mart, Inc $184 - $226 664%
Multiplan $184 - $256 664%
Physicians, Inc $208 - $256 750%
Texas Athletic Network $300 - $600 1082%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals